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Home My WebLink AboutAVDULOS, SPYROAlbert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-18~2 Fax I516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 13, 1998 Steven C. Manis 29-37 Hordan Street Suite A Bayside, NY 11358 RE: SCTM 944-1-5 Dear Mr. Manis: The above reference property was inspected for construction of a second story addition and a 17' X 26' garage. The garage location as applied for on the west side of the house and the second story, are out of the Trustees jurisdiction. If you have any further questions, please do not hesitate to contact this office. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK:jmd Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Tov~n H~! 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-18,92 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only __Coastal Erosion Permit Applicati Wetland Permit Application wGaandfather Permit Ap~ iver/Amendment/Changes '~Received Application: ~eceived Fee:$ ~-~ompleted Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) CAC Referral Sent: .Date of Inspection: ~'~ "Receipt of CAC Report: .Lead Agency Dete~minati6n%__ "Technical Review: ~Public Hearing Held: ~-~-~ Resolution: Name of Applicant ~¥~ ~O~ Address 29-37 Jordan St.~ Suite A, Bayside, NY 115~ Phone Number:(718)352-1444 SuffOlk County Tax Map Number: 1000 - 44-1-5 Property Location: 54985 North Rd., ~reenDort 1,854 Feet West of Albertson Lane T,~l~ ~ 5~ (provide LILCO Pole ~, distance to cross streets, and location) AGENT: Steven C Manis (If applicable) Address: 29-37 Jordan St.. Phone: (718)352-14~4 FAX#: (718)352-845~ Bo~'d of Trustees Application' GENERAL DATA Land Area (in square feet): 31,448 Sq. Ft. Area Zoning: Existinq one family frame dwellinq Previous use of property: Proposed one family frame dwelling Intended use of property: Prior permits/approvals for site improvements: Agency Date x No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? x No Yes If yes, provide explanation: Project Description (use attachments if necessary): Proposed interior alterations and 2nd story addition and proposed qaraq~.~Di~/ ~Q-~ BO~d of Trustees Application-. County of Suffolk State of New York Steven C. Manis BEING DULY SWORN DEPOSES ~ AFFIRMS THAT HE/~IS T~iEAFPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/II~ KNOWLEDGE AND BELIE~, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HAP~T~SS AND FP~E FROM ~_NY_AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO E~P~ERONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS Notary Publl Bo~_d of Trustees App] ~cation /~ AUTHORIZATION (where the applicant is not the owner) Spyro Avdulos (print owner of property) residing at 40 water st. (mailing address) New York, NY 10004 Steven C. Manis do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. "~{~Xher ~s signature ) 8 The Town of Sou[hold*s Code of ~.~hics P~oh[bi[s c0~l~c~$ of in~eresb on the part of town o[ficers and employees. The ~urpose of th~s form i~s to.prov~de information which can alert the town of poss~ble conflic~s of in~erest and allow i~ ko take whatever action is necessary to avoid same. YOUR NAHRt Avdu!Os,, Spyro (Last name, fire5 name, m{dd.le {n{t~ial,' unless you are applying in the name of someone else or other'entity, such as a company. I~ so, indicate the other person's or company's name.) NAT~R~ OF APP~I~ATIONm (Check all ~ha~ apply.) Tax grievance' Variance Change of zone A~p~9~al of pla~ Exemption from pla~ o~ official map o~her X (If "0~her," name the Do you personally (or ~hrough you~ company, Spouse, parenb, or child) have a relationellip with any officer or employee of the Town of Southold? =Relationship- includee by blood, marriage, or business interest. "Business interest' means a business, including a partnership, in which the town o~ficer or employee has even a par~ia! ownership of (or employment by) a corporation in which the town officer or employee owns more than 5~ of shares. If you answered 'YES,#.comple~e [he balanu~ o[~his [ors'and date and sign where indicated. Name of person employed by ~he Town of Sou~hold Title or posi~on of that person Describe the rela~ionship between youreel£ ([he appiican~) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in ~he space provided . The hewn officer or employee OF his or her spouse,' s~bl~ng,. parent, or child is (check all [hat apply)~ __A) ~he owner of grsa~er ~han 5% of ~he shares of ~he corporate s~ock of ~he app~ic~n~ (when ~he applican~' is a corpora~ion); B) ~he legal or b~neficial owner Of any in~eres~ in a noncorpora~e'en~i~y (when ~he applica~ Is no~ a corpora~ion); __C) an officer, direc~or, pa~er, or employes, o~ ~h~ applican~ ~ or __.D) ~he actual applican~. DESCRIPTION OF RELATIONSHIP ' sig~lature' · ,,a'",, L ON~ ! SI.,AND $ 88 ° O0 '00 'E 75. O0 ' MAP BOUNDAR "". SOUND